Mood Emot.  2020 Mar;18(1):9-17. 10.35986/me.2020.18.1.9.

Association between Glycemic Control in Patients with Diabetes and Mental Health Variables Including Depression

• Lee H
• Oh JH
• Um YH
• Kim SM
• Kim TW
• Seo HJ
• Hong SC
• Jeong JH

• KMID: 2525674
• DOI: http://doi.org/10.35986/me.2020.18.1.9

Abstract

Background
The purpose of this study was to measure several mental health variables according to HbA1c level and examine their relationship among diabetic patients.
Methods
Total 89 outpatients who attended diabetes education program at St. Vincent’s Hospital, The Catholic University of Korea College of Medicine, were enrolled this study. The Beck Depression Inventory (BDI), State-Trait Anxiety Inventory, Stress Response Inventory (SRI), abbreviated version of World Health Organization Quality of Life assessment instrument (WHOQOL-BREF), Insomnia Severity Index, and Epworth Sleepiness Scale (ESS) were administered to all patients. Significant differences between groups were assessed by t-test and chi-squared test. Pearson correlation and multiple linear regression analyses were used to identify the variables that affect HbA1c levels.
Results
The well-controlled group had a significantly lower BDI score than the poorly controlled group. The wellcontrolled group also showed significantly lower SRI and ESS. HbA1c, BDI, SRI, and ESS were positively correlated. Duration and BDI were the only variables affecting HbA1c levels.
Conclusion
Emphasis should be given to the identification and management of mental health problems, including especially depressive symptoms in patients with diabetes.

Keyword

Diabetes mellitus; Depression; Emotional stress; Anxiety